Radiowave propagation from a tissue-implanted source at 418 MHz and 916.5 MHz

A Miniaturized, Low-Frequency Magnetoelectric Wireless Power Transfer System for Powering Biomedical Implants

This work experimentally demonstrates the operation of a miniaturized magnetoelectric (ME) wireless power transfer (WPT) system by incorporating a ME transducer and a suitable interface power management circuit (PMC) for potentially powering implantable medical devices (IMD) wirelessly. A ME heterostructure is micromachined to obtain desired device dimensions of 3.5 × 5 mm 2 and to restrict the operating frequency at a clinically approved frequency of 50 kHz. The proposed work also aims to address the trade-off between the device miniaturization, power attenuation and limiting the specific absorption rate (SAR) in the human tissue. By limiting the operating frequency to 50 kHz, the SAR is reduced to less than 1 μW/kg. The fabricated device is characterized with low-intensity AC magnetic field up to 40 μT without using any DC bias, resulting in 0.4 V output voltage and 6.6 μW power across 8 k Ω load. Alignment misorientation between the Tx and Rx is studied for in-plane and out-of-plane angular rotations to confirm the device's reliability against angular misalignment. By eliminating the bulky biasing magnets, the proposed device achieves a significant size reduction compared to the previously reported works. In addition, a self-powered interface PMC is incorporated with the ME system. The PMC generates 3.5 V regulated DC voltage from the input AC voltage range 0.7 V to 3.3 V. The PMC is fabricated on a 2-layered PCB and the over all ME WPT system consumes 12 × 12 mm 2 area. The overall PMC has intrinsic current consumption less than 550 nA with peak power conversion efficiency higher than 85 %. The in vitro cytotoxicity analysis in the human hepatic cell line WRL-68 confirmed the biocompatibility of the Parylene-C encapsulated ME device for up to 7 days, suggesting its potential use in implantable electronic devices for biomedical and clinical applications.

Immune-to-Detuning Wireless In-Body Platform for Versatile Biotelemetry Applications

BACKGROUND AND OBJECTIVE

In-body biotelemetry devices enable wireless monitoring of a wide range of physiological parameters. These devices rely on antennas to interface with external receivers, yet existing systems suffer from impedance detuning caused by the substantial differences in electromagnetic properties among various tissues. In this paper, we propose an immune-to-detuning in-body biotelemetry platform featuring a novel tissue-independent antenna design.

METHODS

Our approach uses a novel slot-patch conformal antenna integrated into a flexible polyimide printed circuit board containing the device circuitry and encapsulated within a 17.7 mm [Formula: see text]8.9 mm biocompatible shell. The antenna is synthesized and optimized using a hybrid analytical-numerical approach and, then, characterized numerically and experimentally in terms of impedance stability.

RESULTS

The proposed platform shows stable impedance, whereas operating in any mammalian tissue as well as in air. The system is optimized for the 434-MHz industrial, scientific, and medical band and can easily be returned for any MedRadio band in the 401-457-MHz spectrum.

CONCLUSION

Ultrarobust impedance characteristics were achieved. Without any modifications, the proposed biotelemetry platform can be used, for instance, as an ingestible for humans or as an implantable for a wide range of animals: from rodents to cattle.

Design and In Vivo Test of a Batteryless and Fully Wireless Implantable Asynchronous Pacing System

Goal: The aim of this study is to develop a novel fully wireless and batteryless technology for cardiac pacing.

METHODS

This technology uses radio frequency (RF) energy to power the implanted electrode in the heart. An implantable electrode antenna was designed for 1.2 GHz; then, it was tested in vitro and, subsequently, integrated with the rectifier and pacing circuit to make a complete electrode. The prototype implanted electrode was tested in vivo in an ovine subject, implanting it on the epicardial surface of the left ventricle. The RF energy, however, was transmitted to the implanted electrode using a horn antenna positioned 25 cm above the thorax of the sheep.

RESULTS

It was demonstrated that a small implanted electrode can capture and harvest enough safe recommended RF energy to achieve pacing. Electrocardiogram signals were recorded during the experiments, which demonstrated asynchronous pacing achieved at three different rates.

CONCLUSION

These results show that the proposed method has a great potential to be used for stimulating the heart and provides pacing, without requiring any leads or batteries. It hence has the advantage of potentially lasting indefinitely and may never require replacement during the life of the patient.

SIGNIFICANCE

The proposed method brings forward transformational possibilities in wireless cardiac pacing, and also in powering up the implantable devices.

Implantable and ingestible medical devices with wireless telemetry functionalities: a review of current status and challenges

Wireless medical telemetry permits the measurement of physiological signals at a distance through wireless technologies. One of the latest applications is in the field of implantable and ingestible medical devices (IIMDs) with integrated antennas for wireless radiofrequency (RF) communication (telemetry) with exterior monitoring/control equipment. Implantable medical devices (MDs) perform an expanding variety of diagnostic and therapeutic functions, while ingestible MDs receive significant attention in gastrointestinal endoscopy. Design of such wireless IIMD telemetry systems is highly intriguing and deals with issues related to: operation frequency selection, electronics and powering, antenna design and performance, and modeling of the wireless channel. In this paper, we attempt to comparatively review the current status and challenges of IIMDs with wireless telemetry functionalities. Full solutions of commercial IIMDs are also recorded. The objective is to provide a comprehensive reference for scientists and developers in the field, while indicating directions for future research.

A wireless robot for networked laparoscopy

State-of-the-art laparoscopes for minimally invasive abdominal surgery are encumbered by cabling for power, video, and light sources. Although these laparoscopes provide good image quality, they interfere with surgical instruments, occupy a trocar port, require an assistant in the operating room to control the scope, have a very limited field of view, and are expensive. MARVEL is a wireless Miniature Anchored Robotic Videoscope for Expedited Laparoscopy that addresses these limitations by providing an inexpensive in vivo wireless camera module (CM) that eliminates the surgical-tool bottleneck experienced by surgeons in current laparoscopic endoscopic single-site (LESS) procedures. The MARVEL system includes 1) multiple CMs that feature a wirelessly controlled pan/tilt camera platform, which enable a full hemisphere field of view inside the abdominal cavity, wirelessly adjustable focus, and a multiwavelength illumination control system; 2) a master control module that provides a near-zero latency video wireless communications link, independent wireless control for multiple MARVEL CMs, digital zoom; and 3) a wireless human-machine interface that gives the surgeon full control over CM functionality. The research reported in this paper is the first step in developing a suite of semiautonomous wirelessly controlled and networked robotic cyber-physical devices to enable a paradigm shift in minimally invasive surgery and other domains such as wireless body area networks.

Developing a wireless implantable body sensor network in MICS band

Through an integration of wireless communication and sensing technologies, the concept of a body sensor network (BSN) was initially proposed in the early decade with the aim to provide an essential technology for wearable, ambulatory, and pervasive health monitoring for elderly people and chronic patients. It has become a hot research area due to big opportunities as well as great challenges it presents. Though the idea of an implantable BSN was proposed in parallel with the on-body sensor network, the development in this area is relatively slow due to the complexity of human body, safety concerns, and some technological bottlenecks such as the design of ultralow-power implantable RF transceiver. This paper describes a new wireless implantable BSN that operates in medical implant communication service (MICS) frequency band. This system innovatively incorporates both sensing and actuation nodes to form a closed-control loop for physiological monitoring and drug delivery for critically ill patients. The sensing node, which is designed using system-on-chip technologies, takes advantage of the newly available ultralow-power Zarlink MICS transceiver for wireless data transmission. Finally, the specific absorption rate distribution of the proposed system was simulated to determine the in vivo electromagnetic field absorption and the power safety limits.

Radiation characterization of an intra-oral wireless device at multiple ISM bands: 433 MHZ, 915 MHZ, and 2.42 GHz

Intra-oral wireless devices are becoming more popular for physiological monitoring of the mouth environment and tongue-operated assistive technologies, such as the internal Tongue Drive System (iTDS). Here we present the experimental measurements and simulations of radiation performance of three commercial wireless transmitters operating at 433 MHz, 915 MHz, and 2.42 GHz, in the industrial-scientific-medical band when they were placed inside human mouth. The measurement and simulation results showed similarities in the attenuation patterns of all tested devices and indicated that the maximum attenuation occurs on the back of the head. There were no significant difference of average attenuation pattern between 433 MHz and 915 MHz, while the attenuation of 2.42 GHz was higher in simulations but not in the measurements.

A novel RF-based propagation model with tissue absorption for location of the GI tract

In order to accurately estimate (build) the radio signal propagation attenuation model, especially inside the gastro-intestine (GI) tract of the human body, the Radio Frequency (RF) absorption characterization in human body is investigated. This characterization provides a criterion to design the Received Signal Strength (RSS) based localization system for the objective inside the human body. In this paper, the Specific Absorption Rate (SAR), E-field, H-field of the near and far field are investigated at frequencies of 434MHz, 868MHz, 1.2GHz and 2.4GHz respectively. Then, the numerical electromagnetic analysis with the finite-differencetime-domain (FDTD) is applied to model the in vivo radio propagation channels by using a dipole antenna. Finally, simulation experiments are carried out in homogenous and heterogeneous mediums. The results show that the electromagnetic (EM) propagation is not only distance and orientation dependent, but also tissue absorption dependent in human body. The proposed model is in agreement with measurements in the simulation experiments.

Enhancing the Performance of Medical Implant Communication Systems through Cooperative Diversity

Battery-operated medical implants-such as pacemakers or cardioverter-defibrillators-have already been widely used in practical telemedicine and telecare applications. However, no solution has yet been found to mitigate the effect of the fading that the in-body to off-body communication channel is subject to. In this paper, we reveal and assess the potential of cooperative diversity to combat fading-hence to improve system performance-in medical implant communication systems. In the particular cooperative communication scenario we consider, multiple cooperating receiver units are installed across the room accommodating the patient with a medical implant inside his/her body. Our investigations have shown that the application of cooperative diversity is a promising approach to enhance the performance of medical implant communication systems in various aspects such as implant lifetime and communication link reliability.

Wireless endoscopy: technology and design

In this chapter we review the current capsule technology and the more conventional "gold standard" technologies against which the wireless devices are compared. Over the years there have been several implementations of capsule devices of growing sophistication as new technology has become available. A notable feature is the extent to which the devices available at any given time have relied upon other more mainstream technologies from which capsule builders have been able to borrow. As an inevitable consequence, device complexity and functionality have increased.

A 1000+ channel bionic communication system

The wireless electronic nervous system interface known as the functional electrical stimulation-battery powered bion system is being developed at the Alfred Mann Foundation. It contains a real-time propagated wave micro-powered multichannel communication system. This system is designed to send bi-directional messages between an external master controller unit (MCU), and each one of a group of injectable stimulator-sensor battery powered bion implants (BPB). The system is capable of communicating in each direction about 90 times per second using a structure of 850 time slots within a repeating 11 millisecond time window. The system's total Time Division Multiple Access (TDMA) communication capability is about 77,000 two-way communications per second on a single 5 MHz wide radio channel. Each time slot can be used by one BPB, or shared alternately by two or more BPBs. Each bidirectional communication consists of a 15 data bit message sent from the MCU sequentially to each BPB and 10 data bit message sent sequentially from each BPB to the MCU. Redundancy bits are included to provide error detection and correction. This communication system is designed to draw only a few microamps from the 3.6 volt, 3.0 mAHr lithium ion (LiIon) battery contained in each BPB, and the majority of the communications circuitry is contained within a 1.4x5 mm integrated circuit.

A programmable microsystem using system-on-chip for real-time biotelemetry

A telemetry microsystem, including multiple sensors, integrated instrumentation and a wireless interface has been implemented. We have employed a methodology akin to that for System-on-Chip microelectronics to design an integrated circuit instrument containing several "intellectual property" blocks that will enable convenient reuse of modules in future projects. The present system was optimized for low-power and included mixed-signal sensor circuits, a programmable digital system, a feedback clock control loop and RF circuits integrated on a 5 mm x 5 mm silicon chip using a 0.6 microm, 3.3 V CMOS process. Undesirable signal coupling between circuit components has been investigated and current injection into sensitive instrumentation nodes was minimized by careful floor-planning. The chip, the sensors, a magnetic induction-based transmitter and two silver oxide cells were packaged into a 36 mm x 12 mm capsule format. A base station was built in order to retrieve the data from the microsystem in real-time. The base station was designed to be adaptive and timing tolerant since the microsystem design was simplified to reduce power consumption and size. The telemetry system was found to have a packet error rate of 10(-3) using an asynchronous simplex link. Trials in animal carcasses were carried out to show that the transmitter was as effective as a conventional RF device whilst consuming less power.

A non-invasive method for gastrointestinal parameter monitoring

AIM: To propose a new, non-invasive method for monitoring 24-h pressure, temperature and pH value in gastrointestinal tract.

METHODS: The authors developed a miniature, multi-functional gastrointestinal monitoring system, which comprises a set of indigestible biotelemetry capsules and a data recorder. The capsule, after ingested by patients, could measure pressure, temperature and pH value in the gastrointestinal tract and transmit the data to the data recorder outside the body through a 434 MHz radio frequency data link. After the capsule passed out from the body, the data saved in the recorder were downloaded to a workstation via a special software for further analysis and comparison.

RESULTS: Clinical experiments showed that the biotelemetry capsules could be swallowed by volunteers without any difficulties. The data recorder could receive the radio frequency signals transmitted by the biotelemetry in the body. The biotelemetry capsule could pass out from the body without difficulties. No discomfort was reported by any volunteer during the experiment. In vivo pressure and temperature data were acquired.

CONCLUSION: A non-invasive method for monitoring 24-h gastrointestinal parameters was proposed and tested by the authors. The feasibility and functionality of this method are verified by laboratory tests and clinical experiments.

An Implantable Telemetry Platform System for In Vivo Monitoring of Physiological Parameters

This paper describes a microcontroller-based multichannel telemetry system, suitable for in vivo monitoring of physiological parameters. The device can digitalize and transmit up to three analog signals coming from different sensors. The telemetry transmission is obtained by using a carrier frequency of 433.92 MHz and an amplitude-shift keying modulation. The signal data rate is 13 kb/s per channel. The digital microcontroller provides good flexibility and interesting performance, such as the threshold monitoring, the transmission error detection, and a low power consumption, thanks to the implementation of a sleep mode. The small overall size (less than 1 cm3), the power density compatible with current regulations for the design of implantable devices, and the dedicated packaging make the system suitable for in vivo monitoring in humans. The design, fabrication, operation, packaging, and performance of the system are described in this paper. An in vivo pressure monitoring case study is described as well.

Electromagnetic radiation from ingested sources in the human intestine between 150 MHz and 1.2 GHz

The conventional method of diagnosing disorders of the human gastro-intestinal (GI) tract is by sensors embedded in cannulae that are inserted through the anus, mouth, or nose. However, these cannulae cause significant patient discomfort and cannot be used in the small intestine. As a result, there is considerable ongoing work in developing wireless sensors that can be used in the small intestine. The radiation characteristics of sources in the GI tract cannot be readily calculated due to the complexity of the human body and its composite tissues, each with different electrical characteristics. In addition, the compact antennas used are electrically small, making them inefficient radiators. This paper presents radiation characteristics for sources in the GI tract that should allow for the optimum design of more efficient telemetry systems. The characteristics are determined using the finite-difference time-domain method with a realistic antenna model on an established fully segmented human body model. Radiation intensity outside the body was found to have a Gaussian-form relationship with frequency. Maximum radiation occurs between 450 and 900 MHz. The gut region was found generally to inhibit vertically polarized electric fields more than horizontally polarized fields.